Evidence map›Paper›PMID 32918047›Full record

ReviewNature reviews. Cardiology2021

Ageing and atherosclerosis: vascular intrinsic and extrinsic factors and potential role of IL-6.

Daniel J Tyrrell, Daniel R Goldstein

Open access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 256 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
256citing papers in PubMed, 1 pooled it
16.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

256 citing papers in PubMed, 1 synthesis or guideline pooled it, 412 citations in OpenAlex.

  1. Pooled it
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  11. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
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  15. CD8Science China. Life sciences · 2026
    Review
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196 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Daniel J TyrrellDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Daniel R GoldsteinDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA. drgoldst@umich.edu.ORCID http://orcid.org/0000-0001-6695-979X
University of Michigan · US

Funding

Mechanisms to augment primary immunity in agingR01AG028082 · NIA · YALE UNIVERSITY · PI DENG, JANE C · 2007 to 2023
$6.9M
Novel mechanisms of age-enhanced vasculopathy after heart transplantationR01AI138347 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN, DANIEL ROBERT · 2018 to 2022
$2.7M
Novel Inflammatory Pathway of Aged-Enhanced AtherosclerosisR01HL127687 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GOLDSTEIN, DANIEL ROBERT · 2016 to 2019
$1.6M
Academic leadership in the Biology of Aging and Cardiovascular DiseasesK07AG050096 · NIA · YALE UNIVERSITY · PI GOLDSTEIN, DANIEL ROBERT · 2015 to 2019
$651k
Immune Basis of how Inflammation, Atherosclerosis, and Aging Enhance Atrial FibrillationF32HL140728 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TYRRELL, DANIEL · 2018 to 2020
$165k
NHLBI NIH HHS R01 HL127687NIAID NIH HHS R01 AI138347NIA NIH HHS K07 AG050096NIA NIH HHS R01 AG028082
6 · The paper itself

Abstract

The number of old people is rising worldwide, and advancing age is a major risk factor for atherosclerotic cardiovascular disease. However, the mechanisms underlying this phenomenon remain unclear. In this Review, we discuss vascular intrinsic and extrinsic mechanisms of how ageing influences the pathology of atherosclerosis. First, we focus on factors that are extrinsic to the vasculature. We discuss how ageing affects the development of myeloid cells leading to the expansion of certain myeloid cell clones and induces changes in myeloid cell functions that promote atherosclerosis via inflammation, including a potential role for IL-6. Next, we describe vascular intrinsic factors by which ageing promotes atherogenesis - in particular, the effects on mitochondrial function. Studies in mice and humans have shown that ageing leads to a decline in vascular mitochondrial function and impaired mitophagy. In mice, ageing is associated with an elevation in the levels of the inflammatory cytokine IL-6 in the aorta, which participates in a positive feedback loop with the impaired vascular mitochondrial function to accelerate atherogenesis. We speculate that vascular and myeloid cell ageing synergize, via IL-6 signalling, to accelerate atherosclerosis. Finally, we propose future avenues of clinical investigation and potential therapeutic approaches to reduce the burden of atherosclerosis in old people.

Indexed as

AgingInterleukin-6AtherosclerosisHumansInterleukin-6

Identifiers

PMID32918047
PMCPMC7484613
OpenAlexW3085562695

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.